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Related Experiment Videos

Hemi-T pouch modification for pediatric urinary diversion.

Eric A Kurzrock1, Donald G Skinner, John P Stein

  • 1Department of Urology and Pediatrics, University of California-Davis Children's Hospital and School of Medicine, 4860 Y Street, Suite 3500, Sacramento, CA 95817, USA.

The Journal of Urology
|August 13, 2003
PubMed
Summary
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A modified hemi-T augment offers a reliable method for bladder augmentation and continent urinary diversion when the appendix is unavailable. This technique successfully restored continence and resolved complications in a pediatric patient.

Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Continent urinary diversion is challenging without an appendix.
  • The double-T pouch technique has shown success in adults.

Observation:

  • A pediatric patient underwent bladder augmentation and continent urinary diversion using a modified hemi-T augment.
  • The surgical technique modifications are detailed.

Findings:

  • One year post-surgery, the patient achieved continence.
  • The patient remained infection-free, and bilateral hydronephrosis resolved.
  • Urodynamics confirmed a 350 ml continent reservoir without reflux.

Implications:

  • The hemi-T augment is a viable alternative for bladder augmentation and continent diversion when the appendix is absent.

Related Experiment Videos

  • This technique is particularly useful in cases with limited bladder tissue for other diversion methods like the Yang-Monti conduit.